Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 002940 | NY |
NPI | 1003026147 |
---|---|
Provider Name | Dr. Rohini Dilip Thodge |
First Address | North Tonawanda, NY 14120-2019 |
Second Address | Dunkirk, NY 14048-3423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 06/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02957284 | (05) | NY |